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I am 26 year female, suffering with neck pain, taken MRI , result is normal , urine routine pus cells are plenty, urine culture it's normal , and taken d3 level is 11, and now doctor suggested to take blood test for arthritis , results are rheumatoid factor is <29.0 IU/ml
C-reactive protein 0.43
Antistreptolosin o 165.0

Polymorphs 78%
Lymphocytes 20%
Eosinophils 0%
Monocytes 12mm

I need suggestion for my report please

Category: Infectious Disease Specialist

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Category: HIV- AIDS Specialist
 25 Doctors Online

Thank you for your query at
HSV-2 mainly causes genital herpes which presents with genital rash and painful sores as the primary infection. If treatment with Acyclovir or Valacyclovir is initiated as soon as possible, the infection can be controlled and it will also prevent recurrences in the future.
It is a chronic infection and can also recur in the future during episodes of stress, other concurrent infections, fever ( e.t.c ). Most carriers get around 1-2 outbreaks every year, but again Acyclovir therapy enhances speed of recovery.
So consult your local physician and get prescription for Acyclovir. And start the treatment as soon as possible.
Feel free to discuss further,

Patient replied :

SHE is on that okay? do you die from this? does is spread to the brain and you die?

Yes Valtrex is a good choice.
So she already has been put on appropriate medicine, so there is nothing to worry about.
Do not worry about it getting widespread, that only happens in severely immuno-compromised people and those who do not take medicines. And no it can't spread to brain. 10-15 % of US population has HSV-2 and around 30 % adult population has HSV-1, they have been able to suppress the disease completely with their natural immunity.
Kindly do not worry.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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